Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EESHA KUNDRA
NPI 1487397063
Student in an Organized Health Care Education/Training Program in Macon, GA

Active since April 20, 2022PECOS Enrolled
777 HEMLOCK ST, MACON, GA 31201(832) 244-8306 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Apr 20, 2022 (2 updates tracked since 2022).

About Eesha Kundra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EESHA KUNDRA (NPI 1487397063) is an individual student in an organized health care education/training program in Macon, Georgia and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Missouri City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487397063
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEESHA KUNDRA
Location Address777 HEMLOCK STMacon, GA 31201-2102
Mailing Address205 1st AveNew York, NY 10003-2981
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 20, 2022
Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1487397063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatricsTaxonomy 208000000X · License 338663 (NY)
777 HEMLOCK ST, Macon, GA 31201

Secondary Practice Location 1

Location 156 Palm BlvdMissouri City, TX 77459-4552 · Phone (832) 244-8306

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eesha Kundra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082099353
PECOS Enrollment IDI20260212002201
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eesha Kundra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
279 E 3RD ST
New York, NY 10009
  • Reassigned Medicare billing, New York enrollment
  • 186 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Nurse Practitioner (Acute Care)
777 HEMLOCK ST
MACON, GA 31201
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Pediatrics (Pediatric Critical Care Medicine)
777 HEMLOCK ST, MSC 83
MACON, GA 31201
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eesha Kundra's NPI number?

The NPI number for Eesha Kundra is 1487397063. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Eesha Kundra located?

Eesha Kundra practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (832) 244-8306.

What is Eesha Kundra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eesha Kundra enrolled in Medicare?

Yes. Eesha Kundra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eesha Kundra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eesha Kundra reassigns Medicare benefits to William F. Ryan Community Health Center Inc (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eesha Kundra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eesha Kundra was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.